Active NPI 1083003529 Individual Practitioner Male Practitioner

Sean Simons , PA-C

Physician Assistant • Milwaukie, OR

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Sean Simons, PA-C is a registered Physician Assistant practitioner in Milwaukie, OR. With approximately 12 years of clinical practice since completing medical education in 2014, Sean Simons provides healthcare services at the registered practice location at 10330 SE 32ND AVE STE 205.

Sean Simons is affiliated with Providence Health And Services Oregon and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10330 Se 32nd Ave Ste 205

Milwaukie, OR 972226594

Telephone 5035138950

Fax 5035138951

Associated Practice Facility / Clinic

🏢 Providence Health & Services - Oregon Facility NPI 1699870873

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Milwaukie, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -3.8 yrs vs City Avg

City Avg: 15.8 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Milwaukie, OR (2106 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simons (12 Years) 12 Yrs

Milwaukie Specialty Average (15.8 Years) 15.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	53	$435.00	$81.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	30	19	$55.00	$14.00
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$308.00	$69.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	35	$428.00	$79.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	50	$424.00	$86.11
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$301.00	$72.28
36415 Insertion of needle into vein for collection of blood sample	12	12	$21.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	81	$431.00	$65.24
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$303.00	$50.90
36415 Insertion of needle into vein for collection of blood sample	30	27	$21.00	$2.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	73	$346.00	$67.43
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$238.00	$45.68
36415 Insertion of needle into vein for collection of blood sample	17	17	$21.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	78	$346.00	$77.16
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$236.00	$55.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	13	$463.00	$89.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	61	$344.00	$73.02
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$233.00	$49.72
81003 Automated urinalysis test	12	11	$34.00	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	59	$342.00	$78.43
99213 Established patient office or other outpatient visit, typically 15 minutes	79	67	$233.00	$52.78

Medical Specialties & State Licenses

CMS Verified: 2020-10-05

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA170896

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500682764 (OR)

Commercial Insurance / Payer ID Railroad Medicare

P01502233 (OR)

Hospital & Practice Group Affiliations

Providence Health And Services Oregon

10330 Se 32nd Ave, Milwaukie, OR 972226594

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners

Dr. Katherine Sankey , MD

General Practice

NPI 1023378429

Doctor of Medicine (M.D.)

Dr. Kelsey Andrews , MD

Family Medicine

NPI 1033791918

Doctor of Medicine (M.D.)

Dr. Johanna Warren , MD

Family Medicine

NPI 1043226541

Doctor of Medicine (M.D.)

Dr. Joshua Reagan , MD

Family Medicine

NPI 1124093281

Doctor of Medicine (M.D.)

Dr. William Gillanders , MD

Family Medicine

NPI 1134157647

Doctor of Medicine (M.D.)

Dr. Terry Garfield , MD

Family Medicine

NPI 1134971054

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2016

Registered at 10330 SE 32ND AVE STE 205, MILWAUKIE, OR 972226594 (Tel: 5035138950)

📍

Updated Business Mailing Address May 23, 2016

Registered at PO BOX 3158, PORTLAND, OR 972083158

👤

Provider Name / Credentials Updated May 23, 2016

Recorded as SEAN SIMONS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Physician Assistant (License #PA170896 in OR)

🟢

Initial NPI Registration & Enumeration January 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083003529

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 21, 2015

Last Update: October 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3158

Portland, OR 972083158

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.